Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OLIVIA N TISCKOS
Active Sole ProprietorOLIVIA N TISCKOS is a Athletic Trainer healthcare provider located in NORMAL, Illinois. NPI 1154065670 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · NORMAL, IL
Registration Details
- NPI Number
- 1154065670
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 21, 2022 (4.2947232144098 yrs)
- Last Updated
- Jun 18, 2025
- License
-
096005607 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1122 WEST AVE APT 1NORMAL, IL, 617613472Browse IL providers · Browse ZIP 61761
- Phone
- 2179710937
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in NORMAL, IL
| Name | Credential | NPI |
|---|---|---|
| MR. JOSEPH HADEN WHITSON | ATC | 1710955380 |
| MS. KATHY M PLINE | ATC/L | 1972562510 |
| AUDREY JO HANSEN | ATC | 1154381952 |
| MR. JOHN MUNN III | MS, ATC | 1134163769 |
| TODD A MCLODA | PHD, ATC | 1114945185 |
| DR. WILLIAM O KAUTH SR. | PH.D, ATC | 1134148323 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.